COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY (NPI# 1649602756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649602756 |
| Entity Type | Organization |
| Organization Name | COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY |
| Practice Address |
326 S Stillaguamish Ave Arlington WA 98223-1652 |
| Mailing Address |
8609 Evergreen Way Everett WA 98208-2619 |
| Practice Telephone | 3605725400 |
| Practice Fax Number | 3605725401 |
| Mailing Telephone | 4257893700 |
| Mailing Fax Number | 4257893754 |
| Enumeration Date | 2013-07-31 |
| Last Update Date | 2016-03-25 |
| Authorized Official Name | ROBERT C FARRELL (CEO) |
| Authorized Official Telephone | 4257893717 |
| Is Organization Subpart | Y |
| Parent Organization Name | COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 1017523 | 05 | |
| ORGANIZATION NPI | 1730136367 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447678875 | Community Health Center of Snohomish County | Pharmacy | 23300 Highway 99, Edmonds, WA 98026-8744 | 2014-04-02 |
| 1013049741 | Community Health Center of Snohomish County | Family Medicine | 4111 194th St Sw Ste 100, Lynnwood, WA 98036-4604 | 2007-03-09 |
| 1730136367 | Community Health Center of Snohomish County | Family Medicine | 8609 Evergreen Way, Everett, WA 98208-2619 | 2006-05-28 |
| 1437675188 | Community Health Center of Snohomish County | Clinic/Center | 930 N Broadway, Everett, WA 98201-1409 | 2017-08-15 |
| 1548786296 | Community Health Center of Snohomish County | Clinic/Center | 4201 Rucker Ave, Everett, WA 98203-2237 | 2017-08-15 |
| 1699102129 | Community Health Center of Snohomish County | Clinic/Center | 1424 Broadway, Everett, WA 98201-1720 | 2013-09-30 |
| 1821420589 | Community Health Center of Snohomish County | Pharmacy | 326 S Stillaguamish Ave, Arlington, WA 98223-1652 | 2013-08-05 |
| 1437438058 | Community Health Center of Snohomish County | Clinic/Center | 21701 76th Ave W, Suite 300, Edmonds, WA 98026-7536 | 2011-08-12 |
| 1073720108 | Community Health Center of Snohomish County | Family Medicine | 5929 Evergreen Way, Everett, WA 98203-6031 | 2007-05-17 |
| 1932231669 | Community Health Center of Snohomish County | Family Medicine | 1424 Broadway, Everett, WA 98201-1720 | 2007-03-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY | 8609 Evergreen Way, Everett, WA 98208-2619 |
| Washington State Corporations | COMMUNITY HEALTH CENTER OF SNOHOMISH COUNTY | 8609 Evergreen Way, Everett, WA 98208-2619 |
| Street Address |
326 S STILLAGUAMISH AVE |
| City | ARLINGTON |
| State | WA |
| Zip Code | 98223-1652 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427012475 | Sharil L Kallstrom | Massage Therapist | 326 S Stillaguamish Ave, Arlington, WA 98223-1652 | 2006-04-14 |
| 1588278154 | Derby Rousseau | Nurse Practitioner | 326 S Stillaguamish Ave, Arlington, WA 98223-1652 | 2020-09-01 |
| 1063971455 | Courtney Jankowski | Physician Assistant | 326 S Stillaguamish Ave, Arlington, WA 98223-1652 | 2019-03-15 |
| 1609353028 | Minh Ngoc Phi | Dentist | 326 S Stillaguamish Ave, Arlington, WA 98223 | 2018-07-27 |
| 1063931293 | Tiffanie P.o. Kimura | Dental Hygienist | 326 S Stillaguamish Ave, Arlington, WA 98223-1652 | 2017-09-19 |
| 1346625977 | Amberly Rae Halbert | Physician Assistant | 326 S Stillaguamish Ave, Arlington, WA 98223-1652 | 2015-07-24 |
| 1326434531 | Aaron Douglas Brinklow | Family Medicine | 326 S Stillaguamish Ave, Arlington, WA 98223 | 2015-04-14 |
| 1134544075 | Brian Christopher Mahoney | Dentist | 326 S Stillaguamish Ave, Chc of Snohomish County, Arlington, WA 98223-1652 | 2014-03-02 |
| 1821420589 | Community Health Center of Snohomish County | Pharmacy | 326 S Stillaguamish Ave, Arlington, WA 98223-1652 | 2013-08-05 |
| 1255772406 | Jasanjot Jenny Parmar | Family Medicine | 326 S Stillaguamish Ave, Arlington, WA 98223-1652 | 2013-07-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225667462 | Clark Nursing LLC | Registered Nurse | 30818 412th Dr. N.e., Arlington, WA 98223 | 2020-04-08 |
| 1952952442 | Tina Willett | Technician | 18404 19th Avenue Ne, Arlington, WA 98223 | 2019-09-25 |
| 1841841764 | Carolyn Marie Lantz | Technician | 6002 Cemetery Road, Arlington, WA 98223 | 2019-09-23 |
| 1801457643 | Maddison Post | Massage Therapist | 18725 Smokey Point Boulevard, Arlington, WA 98223 | 2019-06-24 |
| 1790341113 | Brandon Tyler Stott | Specialist/Technologist | 17023 11th Ave Ne, Arlington, WA 98223 | 2019-05-10 |
| 1881177715 | Hailey R Tanis | Massage Therapist | 3131 Smokey Point Drive #5b, Arlington, WA 98223 | 2018-09-06 |
| 1407381023 | Rest Easy Hair Clinic | Specialist | 3710 168th Street N.e. B101, Arlington, WA 98223 | 2017-04-21 |
| 1851839617 | Jamie Claire Chatters-elf | Preventive Medicine | 315 N French Avenue, Arlington, WA 98223 | 2017-02-01 |
| 1790153286 | Glenda Louise Taylor | Massage Therapist | 16404 Smokey Point Blvd #307, 307, Arlington, WA 98223 | 2015-09-14 |
| 1972990042 | Lizette Jamora Antig | Pediatrics | 875 Wesley St Ste 130, Arlington, WA 98223 | 2015-04-16 |
| Find all providers in zip 98223 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 1750651915 | Neighborhood Health | Clinic/Center | 2445 Army Navy Dr, Suite 305, Arlington, VA 22206-2905 | 2012-01-05 |
| 1790001741 | Neighborhood Health | Clinic/Center | 2120 Washington Blvd, Arlington, VA 22204-5718 | 2010-04-15 |
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| 1447869342 | Unity Care Northwest | Clinic/Center | 6046 Portal Way Ste 202, Ferndale, WA 98248-7829 | 2020-07-27 |
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| 1235778812 | Seattle Indian Health Board | Clinic/Center | 410 2nd Avenue Ext S, Seattle, WA 98104-2876 | 2019-12-31 |
| 1376185694 | Neighborcare Health | Clinic/Center | 2709 3rd Ave, Seattle, WA 98121-1217 | 2019-10-09 |
| 1295383958 | King County Finance | Clinic/Center | 908 Jefferson St Fl 11, Seattle, WA 98104-2433 | 2019-08-27 |
| 1063069839 | Sea-mar Community Health Center | Clinic/Center | 6004 Capitol Boulevard Southwest, Tumwater, WA 98501-8520 | 2019-08-26 |
| 1194379354 | Yakima Neighborhood Health Services | Clinic/Center | 201 S 6th St, Yakima, WA 98901-2928 | 2019-07-26 |
| 1881254449 | Neighborcare Health | Clinic/Center | 7101 62nd Ave Ne Ste 4, Seattle, WA 98115-7168 | 2019-06-17 |
| 1578028866 | Neighborcare Health | Clinic/Center | 2119 3rd Ave, Seattle, WA 98121-2333 | 2019-01-31 |
| 1144703885 | Healthpoint | Clinic/Center | 219 State Ave N, Ste 100, Kent, WA 98030 | 2018-09-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.